Effect of the Combination of Dexamethasone and BIS Monitoring on Reducing Postoperative Nausea and Vomiting in Children

NCT ID: NCT07299435

Last Updated: 2025-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

1508 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-05

Study Completion Date

2029-01-31

Brief Summary

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This study will investigate the impact of combining dexamethasone and bispectral index (BIS) monitoring on the incidence of postoperative nausea and vomiting, emergence delirium and recovery trajectories in children undergoing ear-nose-throat (ENT) surgery.

Detailed Description

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Immediately after securing the airway, an electrode will be attached and BIS monitoring will begin. This will be used to control the depth of general anaesthesia throughout the entire surgical procedure, with the aim of achieving BIS values of 40-60.

Intervention group: Following the administration of dexamethasone at the same dos-age as in the control group, BIS monitoring will be initiated immediately, with the depth of general anaesthesia controlled to a BIS value of 40-60.

Control group: Once access to the vascular system has been secured, dexamethasone will be administered intravenously at a dose of 0.15 mg/kg body weight, up to a maxi-mum of 5 mg. A non-functional electrode for bispectral index (BIS) monitoring will then be attached to the patient's forehead. The depth of anaesthesia will be controlled based on the minimum alveolar concentration (target MAC: 1-1.1).

Conditions

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Tonsil Hypertrophy

Keywords

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postoperative nausea and vomiting emergence delirium children ENT surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Intervention group - BIS monitoring

Following the administration of dexamethasone, BIS monitoring will be initiated immediately, with the depth of general anaesthesia controlled to a BIS value of 40-60.

Group Type EXPERIMENTAL

BIS monitoring

Intervention Type PROCEDURE

BIS monitoring will be used to guide the depth of anaesthesia in this intervention group.

Control group - sham BIS monitoring

A non-functional electrode for bispectral index (BIS) monitoring will then be attached to the patient's forehead. The depth of anaesthesia will be controlled based on the minimum alveolar concentration (target MAC: 1-1.1).

Group Type EXPERIMENTAL

Sham BIS monitoring

Intervention Type PROCEDURE

Sham BIS monitoring will be used in this control group, the depth of anaesthesia will be guided by the values of minimum alveolar concentration.

Interventions

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BIS monitoring

BIS monitoring will be used to guide the depth of anaesthesia in this intervention group.

Intervention Type PROCEDURE

Sham BIS monitoring

Sham BIS monitoring will be used in this control group, the depth of anaesthesia will be guided by the values of minimum alveolar concentration.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* children aged 2 to 8 years undergoing endoscopic adenoidectomy
* parental/child consent
* ASA I-II (American Society of Anaesthesiologists Physical Status)
* no central nervous system (CNS) or gastrointestinal tract (GIT) disease
* no corticosteroid medication

Exclusion Criteria

* Parent/child disapproval
* ASA III and above (American Society of Anaesthesiologists Physical Status)
* central nervous system (CNS) or gastrointestinal tract (GIT) disease
* chronic corticosteroid therapy
Minimum Eligible Age

2 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Municipal Hospital Ostrava

OTHER

Sponsor Role collaborator

Havířov Hospital

UNKNOWN

Sponsor Role collaborator

Frýdek-Místek Hospital

UNKNOWN

Sponsor Role collaborator

Tomas Bata Hospital, Czech Republic

OTHER

Sponsor Role collaborator

University Hospital Ostrava

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michal Frelich, MD, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University Hospital Ostrava

Locations

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University Hospital Ostrava

Ostrava, Moravian-Silesian Region, Czechia

Site Status

Frýdek-Místek Hospital

Frýdek-Místek, , Czechia

Site Status

Havířov Hospital

Havířov, , Czechia

Site Status

Municipal Hospital Ostrava

Ostrava, , Czechia

Site Status

Tomáš Baťa Hospital, Zlín

Zlín, , Czechia

Site Status

Countries

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Czechia

Central Contacts

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Jiří Hynčica

Role: CONTACT

Phone: +42059737

Email: [email protected]

Facility Contacts

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Jiří Hynčica

Role: primary

Kateřina Kusznírová, MD

Role: primary

Daniel Kmec, MD

Role: primary

Martin Formánek, Assoc.Prof.,MD,Ph.D.,MBA

Role: primary

Klára Nekvindová, MD

Role: primary

Other Identifiers

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FNO-KARIM-BISDEX

Identifier Type: -

Identifier Source: org_study_id